TIMOTHY R THALLER

STATESBORO, GA
NPI1407849706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208800000X Urology
(Licence: GA  046818)
Enumeration Date2005-08-23
Last Update Date2024-03-15
Business Address
TIMOTHY R THALLER MD
614 E GRADY ST
STATESBORO, GA 30458-2067
Phone number: 912-764-9001
Mailing Address
TIMOTHY R THALLER MD
614 E GRADY ST
STATESBORO, GA 30458-2067
Phone number: 912-764-9001